Original articleAdult cardiacBilateral Internal Thoracic Artery Harvest and Deep Sternal Wound Infection in Diabetic Patients
Section snippets
Eligibility Criteria
Randomized controlled trials (RCT) or observational studies were eligible if they met the following criteria: (1) adult human subjects; (2) patients underwent isolated CABG, either on pump or off pump; and (3) study reported deep sternal wound infection, need for reexploration for bleeding, in-hospital mortality, or 30-day mortality in a group with BITA versus LITA. Non-English language studies were excluded.
Search Strategy
MEDLINE (1950 to August 1, 2012) was searched to identify studies relevant to our
Search Results and Study Characteristics
The search identified 267 potentially relevant citations (Fig 1). After review, nine articles were eligible for inclusion. An additional two studies were included after reference list review [14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24]. The κ statistic for the final process of selection was 0.90. The studies were graded for quality as per the Newcastle-Ottawa scale. This method uses three criteria—selection, comparability and outcome—to determine the quality of the study. A star is given for
Comment
Coronary artery bypass grafting is superior to percutaneous intervention in diabetic patients with multivessel disease [26], with the ITA providing the incremental benefit [27]. The innate resistance of the ITA to atherosclerosis, intimal hyperplasia, and medial calcification [28] persists in diabetic patients, who demonstrate a tendency toward increased vasoreactivity and occlusion of saphenous vein grafts [29]. Although the use of BITA increases long-term survival [2, 3], it has also been
References (32)
- et al.
Single versus bilateral internal mammary artery grafts: 10-year outcome analysis
Ann Thorac Surg
(1997) - et al.
Two internal thoracic artery grafts are better than one
J Thorac Cardiovasc Surg
(1999) - et al.
The effects of different techniques of internal mammary artery harvesting on sternal blood flow
J Thorac Cardiovasc Surg
(1992) - et al.
Use of bilateral internal thoracic artery during coronary artery bypass graft surgery in Canada: the bilateral internal thoracic artery survey
J Thorac Cardiovasc Surg
(2012) - et al.
Incidence of sternal infection in diabetic patients undergoing bilateral internal thoracic artery grafting
Ann Thorac Surg
(2005) - et al.
Bilateral internal thoracic artery grafting is associated with significantly improved long-term survival, even among diabetic patients
Ann Thorac Surg
(2012) - et al.
Bilateral internal thoracic artery grafting in insulin-treated diabetics: should it be avoided?
Ann Thorac Surg
(2003) - et al.
Use of both internal thoracic arteries in diabetic patients increases deep sternal wound infection
Ann Thorac Surg
(2007) - et al.
The effect of bilateral internal thoracic artery harvesting on superficial and deep sternal infection: the role of skeletonization
J Thorac Cardiovasc Surg
(2005) - et al.
Mediastinitis after coronary artery bypass graft surgery: influence of the mammary grafting for diabetic patients
J Hosp Infect
(2003)
Bilateral versus single internal thoracic artery grafting in oral-treated diabetic subsets: comparative seven-year outcome analysis
Ann Thorac Surg
Off-pump bilateral versus single skeletonized internal thoracic artery grafting in patients with diabetes
Ann Thorac Surg
Pathology of the radial and internal thoracic arteries used as coronary artery bypass grafts
Ann Thorac Surg
Effects of non-insulin dependent diabetes mellitus on the reactivity of human internal mammary artery and human saphenous vein
Life Sci
Sternal wound infections and use of internal mammary artery grafts
J Thorac Cardiovasc Surg
Comparison of coronary bypass surgery with angioplasty in patients with multivessel disease
N Engl J Med
Cited by (150)
Multiarterial vs Single-Arterial Coronary Surgery: 10-Year Follow-up of 1 Million Patients
2024, Annals of Thoracic SurgeryRobotic Totally Endoscopic Coronary Bypass to the Left Anterior Descending Artery: Left Versus Right Internal Thoracic Artery Grafts
2023, Journal of Surgical ResearchExpert systematic review on the choice of conduits for coronary artery bypass grafting: endorsed by the European Association for Cardio-Thoracic Surgery (EACTS) and The Society of Thoracic Surgeons (STS)
2023, Journal of Thoracic and Cardiovascular SurgeryCommentary: Sternal wound complications and internal mammary harvesting technique: An unresolved debate
2023, Journal of Thoracic and Cardiovascular SurgerySingle Versus Multiarterial Grafts for Coronary Artery Bypass Graft Surgery: Analysis of Recent Data
2023, Journal of Cardiothoracic and Vascular Anesthesia